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ForumsMetabolic Health & DiabetesAdiponectin and leptin changes on GLP-1 therapy — what worked for you?

Adiponectin and leptin changes on GLP-1 therapy — what worked for you?

bri_stats Mon, Dec 15, 2025 at 5:59 AM 39 replies 1,546 viewsPage 1 of 8
bri_stats
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Seattle, WA
Dec 15, 2025 at 5:59 AM#1

The weight came off and the harder part started, which is not what any of the material I read had prepared me for.

The narrow version of the question is how people separated a drug effect from the ordinary consequences of a large deficit and disrupted sleep, because I cannot.

Not looking for reassurance. Looking for the part I have got wrong.

1 21sarah_nash92
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kate.chem
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Dec 15, 2025 at 6:12 AM#2
bri_stats said:
The weight came off and the harder part started, which is not what any of the material I read had prepared me for.

Anxiety increase on mental health: counterintuitive, but losing weight rapidly triggered anxiety for me. Change — even positive change — is stressful. I was anxious about whether I deserved to feel good.

This is more common than people admit. A therapist who specializes in weight management has been invaluable. Don't neglect the mental health side of this journey.

50 20VanRx_Mike, steve_okc, dave_SLC and 47 others
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emily_PDX
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Portland, OR
Dec 15, 2025 at 6:25 AM#3
kate.chem said:
Anxiety increase on mental health: counterintuitive, but losing weight rapidly triggered anxiety for me.

Positive side effects of mental health that surprised me:

  1. Clearer skin — inflammation reduction improved my rosacea
  2. Better sleep — weight loss resolved mild sleep apnea
  3. Improved libido — better body image + improved cardiovascular health
  4. Less joint pain — obvious mechanical benefit
  5. More energy — metabolic improvements across the board

Not everything about GLP-1 therapy is a struggle. There are genuinely wonderful changes too. ✨

Last edited: Dec 15, 2025 at 8:25 AM
49 19Dr.NateNeph, PharmD_Rodriguez, julia.endo and 46 others
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james_edin
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Edinburgh, UK
Dec 15, 2025 at 6:38 AM#4
bri_stats said:
The weight came off and the harder part started, which is not what any of the material I read had prepared me for.

This is my experience too, for whatever a second data point is worth. Nothing to add that would improve it.

48 18oliver_london, tane_welly, Dr.PathRoch and 45 others
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BariatricNurseD
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Dec 15, 2025 at 7:44 AM#5

From the other side of the consultation, briefly.

One year anniversary on mental health — reflections:

What I wish I'd known: the side effects are temporary, the benefits compound over time, protein is more important than I thought, and the mental health aspect needs as much attention as the physical.

What surprised me: how much my relationship with food changed, the cascade of health improvements beyond weight, and how supportive this community is.

What I'd do differently: start therapy earlier, prioritize resistance training from day 1, and stop comparing my progress to others. Everyone's journey is unique.

47 17Dr.EndoIndy, tom_AK, josh_phd_bmore and 44 others
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